Required Exams & Forms

2017-18 School Year
Physical & Immunization Requirements

REMINDER: 1st Day Exclusion Policy

All physical & immunization records must be submitted PRIOR to the first day of school, August 16, 2017. Forms may be brought to registration or dropped off/mailed to the school, attention: School Nurse

Failure to comply with the physical & immunization requirements by 8am on the first day of school (August 16, 2017) will result in your child being excluded from school until such requirements are met.

All forms can be downloaded & printed from home by clicking on the State of Illinois Physical, Dental, & Eye Exam Forms link on the left side of this page.

Preschool Students-First year

  • Completed Illinois School Physical Form signed by a licensed healthcare provider & parent. Exam must have occurred within 1 year of the child's first day of school.  Due prior to 1st day of school.
  • Proof of current immunizations and/or waiver.  Due prior to 1st day of school.  REMINDER for 2017-18 proof of pneumococcal vaccination is required.

Preschool Students- Returning-
No additional examinations or immunizations are required.

Kindergarten Students

  • Completed Illinois School Physical Form signed by a licensed healthcare provider & parent. Exam must have occurred within 1 year of the child's first day of school.   Due prior to 1st day of school.
  • Proof of current immunizations and/or waiver. Due prior to 1st day of school.
  • Completed Eye Examination Form or waiver. The eye exam must be completed by a licensed eye doctor, optometrist or ophthalmologist within 1 year of the child's entry in kindergarten. Due by October 15, 2017.
  • Completed Dental Examination form or waiver. The dental exam must be completed by a licensed dentist within 18 months prior to May 15th of the current school year. Eligible exams for the 2017-18 school year would need to take place between November 15, 2016- May 15, 2018. Due by May 15, 2018.

2nd Grade Students

  • Completed Dental Examination form or waiver. The dental exam must be completed by a licensed dentist within 18 months prior to May 15th of the current school year. Eligible exams for the 2017-18 school year would need to take place between November 15, 2016- May 15, 2018. Forms due by May 15, 2018.

6th Grade Students

  • Completed Illinois School Physical Form signed by a licensed healthcare provider and parent. Exam must have occurred within 1 year of the child's first day of school.  Due prior to 1st day of school.
  • Proof of current immunizations and/or waiver INCLUDING proof of Tdap & Meningococcal vaccine given after age 11 and 2 doses of Varicella vaccine. Immunization records are due by 1st day of school. 
  • Completed Dental Examination form or waiver. The dental exam must be completed by a licensed dentist within 18 months prior to May 15th of the current school year. Eligible exams for the 2017-18 school year would need to take place between November 15, 2016- May 15, 2018. Due by May 15, 2018.